| Plastic Surgery Center Of The South | |
|
120 Vann St Ne Suite 150 Marietta GA 30060-7250 | |
| (772) 421-1242 | |
| (770) 424-6652 |
| Full Name | Plastic Surgery Center Of The South |
|---|---|
| Speciality | Clinic/center |
| Location | 120 Vann St Ne, Marietta, Georgia |
| Authorized Official Name and Position | James Edgar Leake (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7704211242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plastic Surgery Center Of The South 120 Vann St Ne Suite 150 Marietta GA 30060-7250 Ph: (772) 421-1242 | Plastic Surgery Center Of The South 120 Vann St Ne Suite 150 Marietta GA 30060-7250 Ph: (772) 421-1242 |
| NPI Number | 1295885465 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295885465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261QA1903X (Georgia) | Primary |
Proactive Physicians Of Marietta, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Suite 220, Marietta, GA 30060 Phone: 678-753-9300 Fax: 678-753-9300 | |
Benchmark Pt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068 Phone: 770-565-3201 Fax: 770-565-3203 | |
Premise Health Of Georgia Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 South Cobb Drive Mail Drop 0454, Marietta, GA 30063 Phone: 770-494-4131 Fax: 770-494-7490 | |
Clifford Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 Church Street Ext Ne Ste G, Marietta, GA 30060 Phone: 678-388-1355 Fax: 770-422-1416 | |
Saint Joseph's Mercy Care Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1407 Cobb Parkway Nw, Marietta, GA 30060 Phone: 678-843-8600 | |
Epitome Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Campbell Hill St Nw Ste 200, Marietta, GA 30060 Phone: 770-727-6124 | |
Wellstar East Cobb Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-579-7900 Fax: 770-579-7962 |